Short Answers, a paragraph each

What are the key components of the treatment plan?
How do you develop goals and objectives? How do you develop a strong continuing care plan?
What is a treatment plan review? who are the key team members that are part of the process?
What is key to the continuing care plan?

Chapter 5

The Treatment Plan

The road map that a patient will follow in his or her journey through treatment
No two road maps are the same
Treatment planning is a never-ending stream of therapeutic plans and interventions
Treatment plans are built around the problems that the patient brings into treatment
Physical
Emotional
Behavioral
Treatment plans focus on the patient's strengths and weaknesses
Treatment plans follow in to discharge planning

Diagnostic Summary

A summary of the interdisciplinary team members
Having a team develop the summary is better because it pulls from the various fields and expertise from each team member

Problem List
This list be specific, vague will not work

Goals and Objectives
An objective is s specific skill the patient must acquire to achieve a goal
An objective is a concrete behavior that you can hear, taste, smell or feel
Goals are abstract statement that you cannot actually se happen
Once the problem list is made, then you can determine what the patient needs to do to restore himself or herself to normal functioning
Goals and objectives should direct the patient towards learning new and more functional methods of coping
All goals and objectives are aimed at change
Each goal should have one or more objectives

How to Develop Interventions
Interventions are used to help patients complete the objectives
If the patient does not complete the objective, then new interventions should be added to the treatment plan
Interventions should be selected by looking at the patients needs

How to Select Goals, Objectives and Interventions
It takes clinical skill to decide exactly what a patient needs
Every treatment plan is individualized, but counselors should focus on the following:
Identifying that the patient has a problem
Knowing exactly what the problem is and how it affects the patient
Apply healthy skills that will reduce or eliminate the problem
Patients must move through the following steps in developing goals and objectives:
Identify that he or she has a problem
Understand how the problem negatively affects him or her
Learn what she/he is going to change
Practice the change

Treatment Plan Review
Treatment teams should review plans on a regular basis
Major points for review should be at a minimum:
Admission
Transfer
Discharge
Major change in patients condition
The point of estimated length of treatment
Some programs have weekly or daily staffing meetings to review the patients and it is at this point treatment plans can be modified

Documentation
Records should be kept on each patient's progress through treatment
Notes should be short
Document if goals and objectives are being met
Progress notes should include:
Treatment plan
All treatment
Patient's clinical course
Each change on condition
Descriptions of the patient's response to treatment
Outcome of all treatment
Response to significant others to important events during treatment

Formal Treatment Plan Review
Once a week the Treatment Team does meetings